Author Question: A licensed practical/vocational nurse has been employed in a hospital short procedure unit for 3 ... (Read 32 times)

sjones · **on:** Jul 17, 2018

A licensed practical/vocational nurse has been employed in a hospital short procedure unit for 3 years.

The hospital was recently sold and the new owners have hired a doctor who will be performing outpatient elective abortions. The nurse's religious convictions forbid the nurse to be involved in any way in elective abortion procedures. What should the nurse do?
A) Submit a resignation and look for another job
B) Ask the new owners to cancel plans to offer elective abortions
C) Conduct information picket lines outside the hospital
D) Ask for a mediator to intervene in the situation

Question 2

The nursing student observed behaviors during clinical rotation.

Which behavior reflects the ethical behavior described by the National Federation of Licensed Practical Nurses (NFLPN) and the National Association for Practical Nurse Education and Service (NAPNES)?
A) A nursing assistant (NA) wears gloves while cleansing the client's perineum, and then goes into the hall and, after looking both ways, picks up additional linens off the cart using gloved hands.
B) A licensed practical/vocational nurse administered the wrong dosage of a medication and assesses the client for harm, reports and records the incident, and reviews proper drug administration.
C) A registered nurse (RN) behind a pulled curtain is performing a sterile procedure, but drops a sterile item on the floor, picks it up, and uses it during the procedure.
D) An unlicensed assistive personnel (UAP) enters into a client in airborne isolation without the proper protective attire, and then the UAP looks both ways in the hall and enters another client's room without first washing her hands.

emilymalinowski12 · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

Ans: A
Feedback:
If the nurse's religious convictions forbid him or her from being involved in any way with abortions, he or she should look for another job. It is highly unlikely that the new owners will change their philosophy to accommodate his or her personal beliefs. Picketing is inappropriate and a mediator is not necessary.

Answer to Question 2

Ans: B
Feedback:
Ethics is the study of what is right and wrong related to human conduct. The licensed practical/vocational nurse demonstrates ethical behavior by showing accountability and taking personal responsibility to do no harm when taking care of the client. The NA chooses to do what is wrong by violating principles of aseptic technique by not first washing hands and by picking off linens off the cart with contaminated gloved hands. The RN violates sterile technique and places the client at risk for an infection. The UAP violates principles of tiered isolation precautions by not wearing proper protective attire and places other clients and self at risk for acquiring the infection.